# ALPHA PHYSICAL AND AQUATIC THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NOVA Physical & Aquatic Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114469848
- **Authorized official:** MUHAMMAD JAHANGIR (MANGER)
- **Authorized official phone:** (703) 587-3171

## Contact information

- **Practice address:** 5860 COLUMBIA PIKE, SUITE 104, FALLS CHURCH, VA 22041-2038
- **Practice address phone:** (571) 366-5900
- **Practice address fax:** (703) 998-4060
- **Mailing address:** 5860 COLUMBIA PIKE, SUITE 104, FALLS CHURCH, VA 22041-2038
- **Mailing address phone:** (571) 366-5900
- **Mailing address fax:** (703) 998-4060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2016
- **Last updated:** 03/10/2017